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WALGREEN CO.
CH044251G CHOTA COMMUNITY HEALTH SERVICES
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Covered Entity Details
Entity Name
CHOTA COMMUNITY HEALTH SERVICES
Subdivision Name
Vonore Middle School
Type
HRSA-Funded Health Center
340B ID
CH044251G
Entity Address
414 Hall St
Vonore, TN 37885-2338
Grant Number
H80CS06461
Participating Start Date
1/1/2014
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10164
4440 HIGHWAY411
MADISONVILLE, TN 37354-1563
Pharmacy Comments
Contract Details
Approval Date
3/10/2023
Contract Begin Date
3/10/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laura Harris, CEO
(423) 442-7268
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
3/10/2023
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